Provider Demographics
NPI:1881280238
Name:ASKARI, MARJAN (PHARM D)
Entity type:Individual
Prefix:
First Name:MARJAN
Middle Name:
Last Name:ASKARI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 ALICANTE AISLE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5977
Mailing Address - Country:US
Mailing Address - Phone:714-732-1652
Mailing Address - Fax:
Practice Address - Street 1:132 ALICANTE AISLE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5977
Practice Address - Country:US
Practice Address - Phone:714-732-1652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83913183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist